Omoleye Deborah, Israr Muhammad A, Tazin Faria, Habib Salma, Desai Shreeya, Go Camille Celeste, Aranmolate Ayobami, Frontela Odalys
Research, Grandville Medical Center, Lagos, NGA.
Research and Academic Affairs, Larkin Community Hospital Palm Springs Campus, Hialeah, USA.
Cureus. 2022 Aug 10;14(8):e27856. doi: 10.7759/cureus.27856. eCollection 2022 Aug.
Emphysematous pyelonephritis (EPN) is a severe, necrotizing infection of the renal parenchyma. It is commonly found as a complication of uncontrolled diabetes mellitus (DM). EPN has a terrible prognosis unless promptly identified and treated. In this case study, a 38-year-old man with type 2 diabetes mellitus (T2DM) was admitted due to complaints of excruciating abdominal pain, vomiting, and non-adherent to his insulin medication. The patient was subsequently diagnosed with EPN. For most patients, the current course of treatment includes nephrectomy along with antimicrobial medications. In this case report, however, the patient improved with conservative treatment such as IV fluids, antibiotics, and blood glucose control.
气肿性肾盂肾炎（EPN）是一种严重的肾实质坏死性感染。它通常作为未控制的糖尿病（DM）的并发症出现。除非及时识别和治疗，EPN的预后很差。在本病例研究中，一名38岁的2型糖尿病（T2DM）男性因剧烈腹痛、呕吐和未坚持服用胰岛素药物而入院。该患者随后被诊断为EPN。对于大多数患者，目前的治疗方案包括肾切除术及抗菌药物。然而，在本病例报告中，患者通过静脉输液、抗生素和血糖控制等保守治疗得到了改善。
